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  • Infographic: Rural Health Systems. Designing Flexible Policy for Rural Health

    Resource Type:
    Other
    Creator:
    Hodge, Heidi, Carson, Dean, and Peters, Paul A.
    Description:
    Visit the Spatial Determinants of Health Lab website at  https://carleton.ca/determinants
    Date Created:
    2019-05-13

  • Report: Telepaediatrics in Rural and Remote Australia and Canada

    Resource Type:
    Report
    Creator:
    Morris, Sydney, Peters, Paul A., LeBlanc, Michele, Steven, Sebastian, Carson, Dean, and Petrie, Sam
    Abstract:
    Rural and remote communities in Australia and Canada experience barriers to accessing healthcare services (1). These barriers are especially pronounced when attempting to access more specialized health care services, such as paediatric (2–4). Both countries have implemented programs that aim to bridge the gap between rural communities and specialized healthcare. One such service is telepaediatrics. Telepaediatrics, as part of telehealth, refers to any paediatric health-related service, network, or medical tool that transmits voice, data, images and information through telecommunication programs as part of providing health services (5–7). Telehealth services are ideal because they remove the need to relocate the rural patient to urban specialist sites (5–7). In a WHO survey (2010), 60% of member countries had telehealth services in place but only 30% of these programs were implemented as part of routine care (8). Only 3 member countries had established telepaediatric services in place (8). No previous investigations examine the use of telehealth programs in urban versus rural settings (8). This review aims to identify the common barriers to telepaediatric services in rural Australia and Canada and outlines suggestions for future implementation.
    Date Created:
    2019-11-20

  • Report: Recruitment and Retention of Rural Physicians

    Resource Type:
    Report
    Creator:
    Petrie, Sam, Sendanyoye, Claudia, Sebastian, Steven, Carson, Dean, and Peters, Paul A.
    Description:
    See also Carleton's Spatial Determinants of Health Lab:  https://carleton.ca/determinants
    Abstract:
    Rural and remote communities comprise around32% and 22% of Australia’s and Canada’s population. However, only 14% and 16% of family physicians in Australia and Canada, respectively, practice in these communities, resulting in a disproportion in access as compared with urban areas. An erosion of health services occurs when the number of physicians and other health care providers in a region is insufficient or these professionals are non-existent. Even when existing in a rural and remote region, providers are often overburdened. Inaccessibility to services in rural and remote communities’ results in poor health outcomes for all involved. In Canada, 1 in 7 physicians will leave rural practice within two years. Strategies to address these turnover rates and the lessening interest in entering rural practice have focused on supporting recruitment and retention initiatives (RnR) to first bring physicians into rural practice and then encourage physicians to continue in rural practice beyond the short-term. These programs have so far been insufficient or ineffective to address the lack of physicians in rural and remote areas. A review of recent literature related to RnR initiatives focused on rural physicians in Australia and Canada was conducted to investigate the strengths and limitations of initiatives. Further, this review critically examines the short and long-term feasibility of initiatives and develops a conceptual framework for designing or examining RnR initiatives.
    Date Created:
    2019-07-12